A well secured endotracheal tube is very essential for the safe conduct of anesthesia. In maxillofacial surgeries, providing secure fixation of the nasotracheal tube has always been a problem. We have used an infant feeding tube that goes around the nasal septum for the fixation of the nasal endotracheal tube. This method of securing the nasotracheal tube does not hinder the surgical access, is well tolerated by patients, and is safe.
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http://dx.doi.org/10.1213/01.ANE.0000134801.87404.3F | DOI Listing |
Case Rep Dent
December 2024
Department of Maxillofacial Surgery, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Bergamo, Italy.
The authors present two cases of mouth floor hemorrhage consequences of implant placement within the atrophic anterior mandible. In one patient, the implant placement was associated with the guided bone regeneration (GBR) technique. This serious complication has been widely described in the literature, especially in the anterior mandible area.
View Article and Find Full Text PDFAir Med J
December 2024
UW Health Med Flight, Madison, WI; Berbee Walsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
The transport of intubated patients is a common but high-risk scenario for air medical transport crews. In the case presented, a physician-nurse HEMS crew responded for the interfacility transfer of a patient with severe angioedema who had undergone awake fiberoptic nasotracheal intubation in the referring emergency department. The endotracheal tube had been damaged, however, and could not be adequately secured for transport.
View Article and Find Full Text PDFJ Oral Maxillofac Surg
November 2024
Professor and Program Director, Department of Oral and Maxillofacial Surgery at University of Texas Health Science Center at San Antonio, San Antonio, TX. Electronic address:
Nasotracheal intubation is crucial for many oral and maxillofacial surgery procedures; however, it presents more challenges than orotracheal intubation and requires a higher level of training, along with various execution options. The routine use of an endotracheal tube (ETT)-first nasal fiberoptic intubation protocol is recommended, specifically in cases where orotracheal intubation is not possible or feasible. In this proposed technique, 137 randomly selected patients underwent fiberoptic nasotracheal intubation for general anesthesia utilizing a strict ETT first protocol.
View Article and Find Full Text PDFBMC Anesthesiol
November 2024
Department of Dental Anesthesiology, Graduate School of Dental Science, Kyushu University, Fukuoka, Japan.
Introduction: In oral maxillofacial surgery, the nasal tracheal tube is mostly used to provide a better surgical field for oral, head and neck operations. Postoperative sore throat and hoarseness are common following tracheal intubation, with an incidence of 11-55%. Then, we previously reported advantage technique of fiberoptic scope to decrease the risk which the tip of the tube is visualized as the tube is advanced which helps avoid impingement of the tube.
View Article and Find Full Text PDFBMC Anesthesiol
November 2024
Department of Anesthesiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori- dori, Chikusa-ku, Nagoya, 464-8651, Japan.
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